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Maternal, Child Health and Neonatal Nursing Commons

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Baby Got Bac, Tina Histand BSN, RN, Heidi Mustapich BSN, RN, Brittany Parks RN, Mallory Potter BSN, RN, Melanie Traynham RN 2018 Children's Mercy Hospital

Baby Got Bac, Tina Histand Bsn, Rn, Heidi Mustapich Bsn, Rn, Brittany Parks Rn, Mallory Potter Bsn, Rn, Melanie Traynham Rn

Presentations

PICO Statement

• Population: 6 Henson patients who qualify for Safe Sleep Practices according to the Safe Sleep Policy.
• Intervention: Signs will placed in high patient care areas to provide awareness and reminders to 6 Henson patient caregivers of correct safe sleep practices.
• Comparison: Current standard of care
• Outcomes: Increased compliance with safe to sleep practices

Aim Statement

The objective of this evidence based practice project is to increase Safe Sleep compliance on the 6 Henson unit by 10% by March of 2018


Abcs Of Safe Sleep, Alyson Hill RN, Jennifer Markey RN, Bailey Ritter RN, Ashley Smith RN, Aaron Smithson RN 2018 Children's Mercy Hospital

Abcs Of Safe Sleep, Alyson Hill Rn, Jennifer Markey Rn, Bailey Ritter Rn, Ashley Smith Rn, Aaron Smithson Rn

Presentations

PICO Question

Does education and teaching to parents and family regarding safe sleep practices increase the compliance of safe sleep for infants 0-12 months on 4 Sutherland compared to the current practice?

Aim Statement

The objective of the evidence based practice project is to increase Safe Sleep compliance by improving education given to parents and family from 20% to 90% by February 2018


Safe Baby, Hannah Burger BSN, RN, Samantha Cockrell BSN, RN, Shauni Lawrence BSN, RN, Shae McGinnis BSN, RN, Christina Montgomery RN, Elizabeth Taylor RN 2018 Children's Mercy Hospital

Safe Baby, Hannah Burger Bsn, Rn, Samantha Cockrell Bsn, Rn, Shauni Lawrence Bsn, Rn, Shae Mcginnis Bsn, Rn, Christina Montgomery Rn, Elizabeth Taylor Rn

Presentations

PICO Question

P: 4 Henson and 5 Sutherland patients who qualify for Safe Sleep Practices according to the Safe Sleep Policy.
I: Creating a useable checklist to be completed with each infant and each shift change
C: Current standard of care
O: Increased compliance with safe to sleep practices

Aim Statement

The objective of this evidence based practice project is to increase Safe Sleep compliance from 50% to 65% on 4 Henson and 5 Sutherland by February 1, 2018.


Picu Patient Satisfaction, Kaitlyn Enochs BSN, RN, Jonathan Foley BSN, RN, Tara Goodman BSN, RN, Abby Haupt BSN, RN, Chelsea Koerkenmeier BSN, RN, Allison Mills BSN, RN, Kara Mishler BSN, RN, Madison Myers BSN, RN, Michelle Noykhovich BSN, RN, Sophia Poplin BSN,RN, Austin Reyes BSN, RN, Kylie Stottlemyre BSN, RN, Sarah Swift BSN, RN, Danielle Warner BSN, RN, Emily Zimmerman BSN, RN, Brooke English MSN, RN, CCRN, Katherine Hoffman BSN, RN 2018 Children's Mercy Hospital

Picu Patient Satisfaction, Kaitlyn Enochs Bsn, Rn, Jonathan Foley Bsn, Rn, Tara Goodman Bsn, Rn, Abby Haupt Bsn, Rn, Chelsea Koerkenmeier Bsn, Rn, Allison Mills Bsn, Rn, Kara Mishler Bsn, Rn, Madison Myers Bsn, Rn, Michelle Noykhovich Bsn, Rn, Sophia Poplin Bsn,Rn, Austin Reyes Bsn, Rn, Kylie Stottlemyre Bsn, Rn, Sarah Swift Bsn, Rn, Danielle Warner Bsn, Rn, Emily Zimmerman Bsn, Rn, Brooke English Msn, Rn, Ccrn, Katherine Hoffman Bsn, Rn

Presentations

PICO

PICU secretaries and parents will be able to increase the number of completed parent satisfaction surveys compared to current actions and supports.

Aim Statement

  • To increase rate of completed parent survey by 5%, as measured by the number of surveys submitted each quarter by January 2018
  • To have 10% response rate to surveys for patients that have been in the PICU for 30 days or greater.


Chasing Never: Unplanned Extubation, LeeAnna Gaspers BSN,RN, Brittney Gerber BSN,RN, Madison Hersma BSN,RN, Erin Keith-Chancy BSN,CCRN, Audrey Knodell BSN,RN, Jordan Miller BSN,RN, Liz Morrow BSN,RN, Tara Otterson BSN,RNC, Chantal Rogers BSN,RN, Abby Slaven BSN,RN 2018 Children's Mercy Hospital

Chasing Never: Unplanned Extubation, Leeanna Gaspers Bsn,Rn, Brittney Gerber Bsn,Rn, Madison Hersma Bsn,Rn, Erin Keith-Chancy Bsn,Ccrn, Audrey Knodell Bsn,Rn, Jordan Miller Bsn,Rn, Liz Morrow Bsn,Rn, Tara Otterson Bsn,Rnc, Chantal Rogers Bsn,Rn, Abby Slaven Bsn,Rn

Presentations

PICO Question

• P:In the Intubated neonate
• I: can the bundling of potentially best practice recommendations (tube location documentation, 2-person handling, and management of positioning and secretions) and standardized hourly assessment with documentation of compliance
• C: current standard of practice
• O: decreased unplanned extubations

Aim Statement

Decrease the rate of unplanned extubations in the ICN from 1.38/100 ventilator days in 2016 to 1 event/100 ventilator days in 2017.


Icn Flu Vaccine Cocooning, Allison Bauer BSN, RN, Brittany Wolter BSN, RN, Jonathan Rind BSN, RN, Maggie Butaud BSN, RN, Sarah Dumovich BSN,RN, Tori Weishaar BSN, RN, Karli Wittenbach BSN, RN 2018 Children's Mercy Hospital

Icn Flu Vaccine Cocooning, Allison Bauer Bsn, Rn, Brittany Wolter Bsn, Rn, Jonathan Rind Bsn, Rn, Maggie Butaud Bsn, Rn, Sarah Dumovich Bsn,Rn, Tori Weishaar Bsn, Rn, Karli Wittenbach Bsn, Rn

Presentations

PICO Question

P (Population): Registered nurses in the CMH Intensive Care Nursery providing patient care.

I (Intervention): Electronic documentation of parent flu vaccine status. Include vaccine status reminder in pod huddle.

C (Comparison): Current practice

O (Outcome): Increase the percentage of families receiving the flu-vac

Aim Statement

The objective of this evidence based practice project is to increase the percentage of families receiving the flu vaccine from 83% to 85% by March of 2018


Ed Staff Morale, Madison Wilkins RN, Tonya Cross RN, Brittany Schmalzbach RN, Noah Olla RN, Fred Richards RN, Emily Pendleton RN 2018 Children's Mercy Hospital

Ed Staff Morale, Madison Wilkins Rn, Tonya Cross Rn, Brittany Schmalzbach Rn, Noah Olla Rn, Fred Richards Rn, Emily Pendleton Rn

Presentations

PICO Question

PICO Question & Aim Statement

• (Population, Intervention, Comparison, Outcomes Measures)

• P: ED Nurses and Support Staff

• I: Huddle Recognition and prizes

• C: No recognition

• O: Improved nursing morale

 To increase the median morale of nursing and support staff from 74% to 80% as measured by Daily Pulse by March of 2018


Maternal Psychological Distress And Cortsiol, Jenna Schroeder 2018 DePaul University

Maternal Psychological Distress And Cortsiol, Jenna Schroeder

Grace Peterson Nursing Research Colloquium

Abstract

Background: Previous studies have reported associations between prenatal maternal distress and negative health outcomes for the unborn. There are gaps within this body of knowledge and inconsistencies in the research which make the relevant relationships unclear. If changes in maternal cortisol cause alterations in fetal development, it is important to gain an adequate understanding of how, and if, maternal psychological distress predicts maternal cortisol levels. This study is an integrative literature review that looks at the research investigating a connection between maternal psychological distress and maternal cortisol levels during pregnancy. Lazarus and Folkman’s (1984) Transactional Model of Stress ...


Caring For The Bereaved Mother, Ivonne Rocio Guzman 2018 Seton Hall University

Caring For The Bereaved Mother, Ivonne Rocio Guzman

Seton Hall University DNP Final Projects

Purpose: Caring for the bereaved mother can be a challenging undertaking for healthcare professionals who unless have suffered a similar loss, can find it difficult to relate with bereaved parents. The purpose of this DNP project is to research grief and bereavement to better understand the parental bereavement experience and to develop an education lesson for MBU nurses caring for bereaved patients. It is essential to provide nurses with insight into the bereavement experience of parents who have suffered the loss of a child, so they can provide support that validates the parents’ grief and helps facilitate spiritual, emotional, or ...


Improving Neonatal Resuscitation Readiness, Benay Johnson 2018 Seton Hall University

Improving Neonatal Resuscitation Readiness, Benay Johnson

Seton Hall University DNP Final Projects

According to the AHA and the AAP, approximately 10% of newborns require some assistance to begin breathing at birth; less than 1% need extensive resuscitative measures to survive (2015). There is an abundance of evidence-based literature on the need for neonatal resuscitation readiness. However much of this literature is targeted toward teamwork efforts during the act of resuscitation. This DNP scholarly project is to take a step back to improve the actual set-up component required for neonatal resuscitation. There can be instances in which equipment is not properly set-up or the set-up is not appropriate for the gestational age of ...


Improving Neonatal Outcomes Through The Implementation Of A Delayed Bathing Program, Kathy LiVolsi 2018 Seton Hall University

Improving Neonatal Outcomes Through The Implementation Of A Delayed Bathing Program, Kathy Livolsi

Seton Hall University DNP Final Projects

Abstract

Background and Objective: Until 2010 newborns at most community-based hospitals were subjected to their initial bath within two hours of birth. However, this practice has recently changed due to the evidence-based recommendations that demonstrate improved outcomes for neonates when the first bath is delayed for 12-24 hours after birth. Upon delivery, infants are placed skin-to-skin with their parents to promote thermoregulation, breast feeding and bonding. The purpose of this project was to implement a program that delayed infant bathing until the infant was approximately 24 hours old. Rates of neonatal hypoglycemia, neonatal hypothermia, exclusive in-hospital breastfeeding and formula supplementation ...


Neonatal Resuscitation And Quality Improvement Initiatives At Hopital St Nicolas De Saint Marc, Haiti, Deborah O’Dowd 2018 Worcester State University

Neonatal Resuscitation And Quality Improvement Initiatives At Hopital St Nicolas De Saint Marc, Haiti, Deborah O’Dowd

Community Engagement and Research Symposia

According to statistics drawn from the World Health Organization, Haiti has one of the highest infant mortality rates in the Americas, at 52.2 per 1,000 live births as compared to 12.5 per 1,000 live births in the Americas overall (World Health Organization, 2016). One of the key factors in improving these numbers is to improve the availability and quality of care. Providing advanced education to Haitian nursing staff regarding the care of neonates is vital to improving the outcomes of this patient population. Additionally, providing a strong foundation in quality improvement methodology gives the nurses the ...


Meta-Analysis Of The Effects Of Exercise Interventions On Obese Adolescents, Brandy E. Strahan PhD, RN, Hyochol Ahn PhD, MS-ECE, MS-CTS, APRN, ANP-BC, Jonathan Shuster M.Sc., Ph.D. 2018 University of West Florida

Meta-Analysis Of The Effects Of Exercise Interventions On Obese Adolescents, Brandy E. Strahan Phd, Rn, Hyochol Ahn Phd, Ms-Ece, Ms-Cts, Aprn, Anp-Bc, Jonathan Shuster M.Sc., Ph.D.

Journal of Nursing & Interprofessional Leadership in Quality & Safety

A meta-analysis of 10 randomized control studies published in 2003-2013 was conducted to provide a summary of the effects of exercise interventions on obese adolescents. Outcomes of the reviewed trials included body mass index, weight, glucose, and triglycerides. Data were combined using an inverse variance weighted random effects model. The effect size estimate for BMI was 1.354 kg/m2 (p < 0.001, SE 0.321), indicating that the BMI of individuals in treatment groups improved, as compared to control groups. A statistically significant reduction in weight was greater in the intervention groups than the control groups by 3.815 kg (p = 0.001, SE 1.101). The findings of this meta-analysis show that exercise interventions may improve control of weight and BMI and in turn be a factor in decreasing obesity.


What’S In A Name: Performance Improvement, Evidence-Based Practice, And Research?, Andrea Prentiss, Eve Butler 2018 Baptist Hospital of Miami, Miami Cancer Institute, Baptist Health South Florida

What’S In A Name: Performance Improvement, Evidence-Based Practice, And Research?, Andrea Prentiss, Eve Butler

Nursing & Health Sciences Research Journal

No abstract provided.


Managing Ambiguity: Nurses Caring For The Mother Of A Stillborn Baby, Natasha J. Nurse 2018 The Graduate Center, City University of New York

Managing Ambiguity: Nurses Caring For The Mother Of A Stillborn Baby, Natasha J. Nurse

All Dissertations, Theses, and Capstone Projects

Abstract

Purpose: The aim of this study was to describe and conceptualize the experiences and processes involved when labor and delivery nurses provide care to women experiencing a stillbirth.

Background: The care of a woman experiencing a stillbirth is an important topic that requires attention, however, there is a paucity of literature on the specifics of a nurse’s experience as she or he cares for a grieving mother. These experiences may shed light on gaps in care that may exist as well as gaps in the resources, education and support needed to appropriately prepare nurses for providing care to ...


Nurses' Knowledge, Attitudes, And Perceived Self-Competency Regarding Individualized Developmental Care In The Neonatal Intensive Care Unit, Patricia Macho 2018 The Graduate Center, City University of New York

Nurses' Knowledge, Attitudes, And Perceived Self-Competency Regarding Individualized Developmental Care In The Neonatal Intensive Care Unit, Patricia Macho

All Dissertations, Theses, and Capstone Projects

Infants born prematurely are at a greater risk for developing both cognitive and motor development delays related to continuing their development outside the normal uterine environment. Because of the potential adverse effects of the Neonatal Intensive Care Unit (NICU) environment on the quality of life of premature infants and their families, researchers have investigated, developed, and tested different developmentally supportive interventions to improve outcomes and decrease the negative effects of the NICU. The majority of successful interventions are based on the Synactive Theory of Individualized Developmental Care (IDC)-a form of patient/family- centered care for the neonate.

The majority ...


It's About Time! Gdm: A Transformative Postpartum Process. A Constructivist Grounded Theory Study, Natalie Giannotti 2018 The University of Western Ontario

It's About Time! Gdm: A Transformative Postpartum Process. A Constructivist Grounded Theory Study, Natalie Giannotti

Electronic Thesis and Dissertation Repository

Abstract

Gestational Diabetes Mellitus (GDM) is defined as glucose intolerance with onset or first diagnosis during pregnancy, and affects 3.7%-18% of Canadian women (Canadian Diabetes Association, 2013). Social support can help women with a history of GDM be successful in achieving optimal health postpartum. The purpose of this constructivist grounded theory (GT) study (Charmaz, 2011) was twofold: (1) To explore the social support processes of women with a history of GDM as they navigate through the healthcare system postpartum, to restore and maintain their health, and (2) To critically examine facilitating factors and barriers to engaging in health ...


Surrogacy: Pathway To Parenthood, Rachel A. Joseph, Alexandria M. Rafanello, Cassidy J. Morris, Kerry F. Fleming 2018 West Chester University of Pennsylvania

Surrogacy: Pathway To Parenthood, Rachel A. Joseph, Alexandria M. Rafanello, Cassidy J. Morris, Kerry F. Fleming

Nursing Faculty Publications

Assistive reproductive technology has progressed significantly over the past few decades. In spite of the advances, people may still resort to a surrogate for bearing and birthing a baby. Surrogacy, though an altruistic act, has been commercialized in the past few years, leading to emergence of several ethico-legal concerns. Nurses care for the surrogates, the infants, and the intended parents through their journey with sensitivity, advocacy, compassion, and confidentiality. This article intends to explore the implications of surrogacy to individuals, families, nations, and health care.


“Tell Me A Story®”: Promoting Resiliency In Military Children, Katherine-Marie Conover 2018 University of Massachusetts Amherst

“Tell Me A Story®”: Promoting Resiliency In Military Children, Katherine-Marie Conover

Doctoral Dissertations

Multiple and lengthy deployments of military members are common and negatively impact children’s well-being. Programs seek to increase resiliency and reduce potential negative impact of parental deployment on children exist but lack empirical evidence to support their effectiveness. Increased parent engagement through reading and subsequent discussion with their children has positive psychology implications and potential to improve resilience. Thus, this study’s purpose was to examine the effectiveness of the intervention Tell Me A Story® (TMAS) in improving resiliency in school-age children (aged 6 to 10 years) of active duty military members. This study also aims to examine the ...


Pediatric Primary Care Providers And Postpartum Depression: Educating Providers About The Importance Of Regular Screening, Referrals And Follow-Up, Tara Boyd 2018 University of Massachusetts Amherst

Pediatric Primary Care Providers And Postpartum Depression: Educating Providers About The Importance Of Regular Screening, Referrals And Follow-Up, Tara Boyd

Doctor of Nursing Practice (DNP) Projects

Postpartum depression affects approximately 10-20% of women in the first year after giving birth. Postpartum depression can be difficult to assess, as many symptoms mimic that of “normal” postpartum activity, including insomnia, changes in appetite and anxiety. Lack of education about postpartum depression, or fear of discussing these concerns with their providers, can cause postpartum depression to go undiagnosed and untreated. Additionally, women who are diagnosed with some level of postpartum depression may not ever receive treatment for it. Undiagnosed and untreated postpartum depression can have serious health implications for mothers and their babies, causing permanent effects on child developmental ...


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